1. School of Health and Social Studies Perioperative nursing student´s competence Jaana Perttunen MSc, RN, Lecturer & Marjo Palovaara MNSc, RN, Senior Lecturer School of Health and Social Studies Jyväskylä University of Applied Sciences Jyväskylä, Finland

2. Perttunen & Palovaara 2008 Finland and Jyväskylä in Europe

3. Perttunen & Palovaara 2008 Map of Jyväskylä

4. Perttunen & Palovaara 2008 Finnish Education System UNIVERSITIES OF APPLIED SCIENCES

5. Perttunen & Palovaara 2008 JAMK Educational Provision The internationally oriented Jyväskylä University of Applied Sciences is one of the most appealing Universities of Applied Sciences in Finland. Jyväskylä University of Applied Sciences provides –nearly 30 degree programmes in seven fields of study –five postgraduate university degrees (Master’s Degree) –continuing professional education plus education and development services –open studies –vocational teacher education

6. Perttunen & Palovaara 2008 Schools of Jyväskylä University of Applied Sciences School of Cultural Studies School of Business School of Engineering and Technology School of Information Technology School of Tourism and Services Management Institute of Natural Resources School of Health and Social Studies – Wellbeing is our challenge Degree: Bachelor of Health Care and Social Services

7. Perttunen & Palovaara 2008 School of Cultural Studies – Creativity allowed! Degree: Bachelor of Cultural Studies School of Business – Educating experts in business economics Degree: Bachelor of Business Administration, BBA School of Engineering and Technology – Competence into Competitive Edge Degree: Bachelor of Engineering School of Information Technology – IT-Dynamo connects the world Degree: Bachelor of Engineering Institute of Natural Resources Degree: Bachelor of Natural Resources School of Health and Social Studies – Wellbeing is our challenge Degree: Bachelor of Health Care and Social Services School of Tourism and Services Management Degree: Bachelor of Hospitality Management

8. Perttunen & Palovaara 2008 Postgraduate Degrees Jyväskylä University of applied sciences offers postgraduate degrees (Master’s Degree) in five degree programmes: School of Health and Social Studies, Postgraduate (Master´s) Degree Programme in Health Promotion School of Engineering and Technology, Postgraduate Degree Programme in Logistics School of Information Technology, Postgraduate Degree Programme in Information Technology School of Business Administration, Postgraduate Degree Programme in Business School of Tourism and Services Management, Postgraduate Degree Programme in Facility Management Online learning, international co-operation, and the networks in Central Finland are utilized in the education.

9. Perttunen & Palovaara 2008 INFORMATION of APPLICANTS Applicants to the Programmes (Youth's education spring 2008) Starting placesPrimary applicantsTotal Nursing (tuition English)15 189346 Nursing (Finnish)42243664 Public Health Nursing17141459 Midwife17141453

10. Perttunen & Palovaara 2008 Nurse Education in JAMK 210 ects 1 ects= 27 hours of students work 1/3 practice in different health care settings 2/3 theoretical studies

11. Perttunen & Palovaara 2008 The Structure of the Degree Programme The Structure of the Degree Programme 210 ects Basic studies Professional studies Elective studies Clinical Placement (is included in professional studies) Bachelor´s Thesis (15ects) Maturity Test

12. Perttunen & Palovaara 2008 The Structure of the Degree Programme Optional Professional Studies 30 ects (included in 210 ects) Adult Nursing Critical Care Nursing Gerontological Nursing Mental Health and Addiction Nursing Pediatric Nursing Perioperative Nursing Nursing in International Fields

13. Perttunen & Palovaara 2008 Nursing in different health care settings Perioperative and day surgery nursing 1,5ects: Objectives The students will be familiarized with perioperative (surgery and anaesthetic nursing), day surgery nursing, central nursing interventions, and the implementation of aseptics. The students will be familiarized with the central methods and devices used in perioperative nursing, and their use. The students will internalise the basics of pain treatment and the methods used in it. They will understand the importance of the encounter, guidance, and support of surgery patients, as well as the significance of multi-professional work in the holistic treatment of patients. Optional practice 3ects in perioperative wards

14. School of Health and Social Studies Perioperatiivinen hoitotyö 30op 6 ects perioperative nursing theory 3 x 6ects superviced practical placements 1,5 ects anathomy and fysiology 1,5 ects medical studies (anesthesiology and surgery) 3 ects optional studies Total 30 ects Professional optional studies: Perioperative nursing

15. Perttunen & Palovaara 2008 Objectives for theoretical studies able to plan, implement and assess the holistic and empowering care of the perioperative patient. able to take care of a patient in anesthesia or local anesthesia, and to prepare for changes in the condition of the patient. observation of vital functions, rapid action in accordance with the situation, utilizing nursing interventions, medical treatment, technology, and multiprofessional work groups. able to encounter the perioperative patient individually. master basic technology, aseptics and the helping methods of perioperative nursing, and can, when guided, nurse the perioperative patient. work with the operational principles of patient safety and high professional ethics.

16. Perttunen & Palovaara 2008 Theoretical studies

17. Perttunen & Palovaara 2008 Theory lessons Elective patient: lap. chole, general anesthesia, adult Trauma patient: fractured ancle, spinal and epidural, elderly Emergency patient: caesarean section, anesthesia in emergency situation, adult Day surgery: hernia, anesthesia in day surgery, child Drug calculations Skill labs

18. Perttunen & Palovaara 2008 Skill labs at school

19. School of Health and Social Studies Skill labs at hospital

20. Perttunen & Palovaara 2008

21. Superviced practical training

22. Perttunen & Palovaara 2008 Perioperative practice I Scrubbing and circulating, objectives: use evidence-based knowledge of nursing in their decision-making. central helping methods of perioperative nursing in scrubbing and circulating. aseptic methods, and use the central technology of perioperative nursing.

23. Perttunen & Palovaara 2008 Perioperative practice II Anesthesia nursing, objectives use evidence-based knowledge of nursing in their decision-making central helping methods of anesthesia nursing use the basic technology of anesthesia nursing and master aseptic methods know the central medical and pain treatment in anesthesia nursing.

24. Perttunen & Palovaara 2008 Perioperative practice III Optional, objectives: use evidence-based knowledge of nursing in their decision-making master the patient-centred way of working in perioperative nursing can guide and educate the patients during the perioperative nursing process

25. Perttunen & Palovaara 2008

26. Perioperative nursing student´s competence how the perioperative nursing student’s competence develops during studies and a year after graduation.

27. Perttunen & Palovaara 2008 The research method Questionnaire 1.Before studies of perioperative nursing 2.After theory studies of perioperative nursing 3.Graduating 4.One year after graduating

28. Perttunen & Palovaara 2008 The competences 1.Competence related to ethics and values 2.Competence in clinical nursing A.Competence in decision making B.Competence in clinical nursing C.Competence in nursing management 3.Competence in health promotion 4.Competence in development of perioperative nursing 5.Social and multicultural competence 6.Competence in encounters and collaboration 7.Development competence

29. Perttunen & Palovaara 2008 The scale (1-5) 1.Does not describe activities at all 2.Seldom describes activities 3.Describes activities to some extent 4.Describes activities well 5.Describes activities very well

30. Perttunen & Palovaara 2008 1 Competence related to ethics and values Recognizing Reflecting Discussing Acting Decision making

31. Perttunen & Palovaara 2008 2A Competence in decision making Utilizing patient's recourses Prioritizing Evidence based nursing Consulting Evaluation

32. Perttunen & Palovaara 2008 2B Competence in clinical nursing As a student I act independently in clinical interventions I can utilize technology in nursing not forgetting patient security I am able to guide patients/clients individually I master the maintaining and observing of vital functions of a patient I understand the importance of infection control in nursing I apply the principles of asepsis in nursing I observe critically the aseptic behavior of work community I master safe medical care (medicines) I master drug calculations

33. Perttunen & Palovaara 2008 2C Competence in nursing management Organizing Improving the quality of nursing Economic Team

34. Perttunen & Palovaara 2008 3 Competence in health promotion Patient counselling and motivation Guiding patients to self care Situational sensitivity Patient security

35. Perttunen & Palovaara 2008 4 Competence in development of perioperative nursing Following the development of perioperative nursing Quality and development issues in nursing practise Participating in the development assignments

36. Perttunen & Palovaara 2008 5 Social and multicultural competence Patient’s social and cultural background Challenges of perioperative nursing Multicultural work community

37. Perttunen & Palovaara 2008 6 Competence in encounters and collaboration Interaction skills The significance of family The significance of teamwork Observing own professionality and resources

38. Perttunen & Palovaara 2008 7 Development competence Motivation in learning and professional developing Responsibility Critical thinking Feedback

39. Perttunen & Palovaara 2008 The analyses 1.Before the studies35 2.After the theory studies18 3.Graduating 5 4.One year after graduating 3 Total61 SPSS statistical software

40. School of Health and Social Studies The variation of the self evaluated competences in three phases of studies

41. School of Health and Social Studies The differences in the competences Phases 1 & 2 Phases 1 & 3 Phases 2 & 3

42. Perttunen & Palovaara 2008 Conclusions Most advanced competences Competence in decision making Competence in health promoting Competence related to ethics and values Little or no change Competence in nursing management Social and multicultural competence

43. Perttunen & Palovaara 2008 Conclusions Student Teacher Mentor

44. Perttunen & Palovaara 2008 SOCRATES – free translation To become conscious one’s own ignorance is the highest level of knowledge.

45. School of Health and Social Studies